Charles Robert Hendricks Jr., P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA00767900 Issued in NJ

Practice address

4400 US Highway 9
Suite 1500
Freehold, NJ 07728-1383

Phone

(732) 625-2200

Fax

(732) 625-2205

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kessler Institute for Rehabilitation Inc

  • Rehabilitation Hospital
  • West Orange, NJ
  • NPI 1013919620
  NPD (past)
• Kessler Institute for Rehabilitation, Inc.

  • Rehabilitation Hospital
  • Marlton, NJ
  • NPI 1528512266
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013068568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JESSICA PL",
            "city": "MONMOUTH BEACH",
            "state": "NJ",
            "postal_code": "077501407",
            "telephone_number": "732-625-2200",
            "fax_number": "732-625-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 US HIGHWAY 9",
            "address_2": "SUITE 1500",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281383",
            "telephone_number": "732-625-2200",
            "fax_number": "732-625-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA00767900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Heim Jr., LCSW, LCADC
• Frederic Marc Heitzer, MD
• Donna L Heller Ringer, M.S., C.C.C.
• Sanam Hemrajani, PT, DPT
• Marissa Henderson, LSW
• Evana Henin, MD
• Alysa Hernandez, MD
• Robert A Hersh, DDS
• James Herzog, DC
• Jennifer L Herzog, LSW

• Physical Therapist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.